Kana chiremba wako akakupa hutano hwe lateral recess stenosis, (zita rechirongwa LRS) unogona kunge uri kuputira musoro wako. Izvi zvinorevei munyika?
Kuti tinyatsogadzirisa izwi iri ngatitangei pakuguma, neshoko stenosis.
Stenosis ishoko rechiremba rinoreva kuderedza. Sezvo kune hutano huri shure, inowanzoreva chero mamiriro ezvinhu anotapudza migwagwa iyo iyo mitsetse kana tambo yepelinha inopfuura.
Nepelin stenosis zvakananga, nhengo dzenzara dzine nzvimbo shoma shoma dzakapoteredza. Nemhaka yeizvi, mitsetse inogona kusangana nefupa, yakadzingwa disc disc kana zvimwe zvigunwe, zvinogona kukonzera marwadzo nezvimwe zviratidzo. Zviratidzo zvinogona kusanganisira kupisa marwadzo ekudzoka shure, kurwisana, izvo zvinoputika zvinowanzoitika kana uchifamba, utera, kushaya simba uye / kana magetsi anonzwa achidzika pasi petsoka kana ruoko. Mune zvimwe zviitiko, zviratidzo zvakakomba zvakanyanya zvinokanganisa chikwata kana chirwere chinogona kuitika, zvakare.
Zvadaro, ngatitsanangurire "lateral recess."
Zvakawanda zvirwere zvinosanganisa zvinosanganisira kureva kunzvimbo yedambudziko, uye ndizvo chaizvo zviri kuitika paunosangana nezwi rinotevera re-stessosis stenosis.
Chii, uye Ndekupi Kunonoka Kwekupedzisira?
Uyewo anozivikanwa sekupinda kwaLee, kurega kwemazuva ekupedzisira ndiyo nzvimbo mukati memugero wepasipera uri kumativi. (Nekupedzisira inzwi rechiremba rinoreva "chikamu.") Nemhaka yeiyo, inowanikwawo pedyo nemaspinal nerve root .
Pakati pemugwagwa wepasipinal, iyo ndiyo nzira huru iyo inotenderera urefu hwemutsara wesipinha, reessess lateral inotsanangurwa nemiganhu yakananga.
Kupera Kwemiganhu Yekare
Iko kunokonzerwa kwekamberi kune miganhu 5. Kutanga mushure megungwa rezvechirwere ; asi iyo inogona kunge yakashamisa, shure kwechimiro chechimiro chinoita mutsara wepamberi wekunonoka kwekupedzisira.
Mukuda kwekunyatsokwana, zvakanakisa kuwedzera kumucheto kwemuviri wemutumbi, unonzi mharafu yependplate, uye chikamu chekunze chemukati wechipikisi, chinonzi marginal of the disc, kusvika kune urongwa hwezvivako zvinosanganisira mberi kwe retal recess. Inonzi intervertebral disc ndiyo inotyisa inogadzikana inowanikwa pakati peviri yemapfupa emupfupa.
Yakazotevera rutivi rwomuganhu wejeri rekusimuka. Uyu muganhu unoumbwa nechimiro chinonzi pedicle. The pedicle chikamu chiduku chepfupa chinobuda kubva kumashure kwemuviri wemhuka; iyo chikamu chendin'i ye bony inoswedera pedyo nemutumbi wemhuka. Iri rin'i yepafu rinokosha kune dzakawanda zvemutsana.
Kune maviri pedicles kumushure kwega-rega muviri wega-imwe yega uye yeboshwe.
Akapfuura pedicle ndiyo marina, ayo ari pedyo nechemberi kwebhandi yebony kupfuura muviri wenyama. Sezvauchaona, kupindirana pakati pe pedicle uye lamina kunokosha pakutsanangurira muganhu wechipfuva chekudzoka kwekupedzisira. Izvi ndezvokuti zvimwe zvikamu zviduku zvepfupa zvinobatsira kuti zvive nechepakati pemiganhu, kana kuti zvishoma kubatsira mubatiro redu rekuona zvakajeka nzvimbo yacho, inobva pakusangana uku. Zvikamu zviduku zvepafupa zvinowanzozivikanwa kuti zvinoshandiswa, uye imwe neimwe ine zita rayo rakasiyana rinozivikanwa, zvakare.
Semuenzaniso, pedyo ne pedicle, mitambo inotenderera inoenderera mberi nechemberi kune rumwe rutivi uye inopa masiti emisungo nemirasi kuti ubatanidze. Izvo zvinotenderera zvinosanganisira nzvimbo dziri mumapfupa emusipinha munharaunda yako ye thoracic inosangana nenyundo.
Iyo pedicles inogadzira zviratidzo zvakakura paunotarisa pamufananidzo wemupfupa worwonzi uye uchiedza kutsanangura kuti chii. Sezvinoenda kune zvitsva zvinopinda, pedicle iri mberi, uye lamina iri kumashure.
Zvimwe zvidimbu zvepfupa zvinobva munzvimbo iyo pakati pe pedicle nemamina ndiyo inyanzvi. Nzira dzinobva kune imwe gumbo repona dzinopindirana nemagadzirirwo ezvinyorwa zvekutevera, zvose kumusoro nepamusoro, zvichiumba chikamu chakabatanidzwa.
Zvose, zvikamu zvomuviri zvinopa ruvara rwepelinha ruzhinji rwekusimba kwayo.
Chimwe chezvinhu izvi-hukuru (hukuru hunopfuura pamusoro pezvokurapa) hunoisa chikamu chemuganhu wemushure wekunonoka kwekupedzisira.
Chimwe chikamu chemuganhu wemushure wekunonoka kwemazuva ano kunopiwa ligamentum flavum. Pakati pemigero yakawanda yakabatanidzwa nemusana, iyo ligamentum flavum ndiyo iyo inobatanidza pakati pemaarina emasipinha mukati memugero wemusana. Basa reyo ligamentum flavum ndokukudzivirira kubva kunekukuvara kwekukuvara; zvinodaro nekukuchengetedza kubva pakukotamira mberi mberi.
Recental Recess Stenosis
Ngationei zvose pamwe chete zvino. Sezvawaona, kurega kwemazuva ekupedzisira kwechikamu chechikamu chemugungwa uye kunogona kuva pangozi kumupfupa stenosis.
Kuchinja kwehutano hwemakore mumapfupa, zviputi zvemuviri (izvo zvinovakwa nemitambo yakataurwa pamusoro apa) uye / kana mishonga zvingaita kuti zvivako izvi zvive nenzira imwechete, uye naizvozvo zvishoma, nzvimbo yatinoshevedza kubhururuka, pamwe chete neimwe nzira dzakagadzirwa nekubatana kwemapfupa emusana. Uye pamusana pokuswedera pedyo kwavo, izvi zvinokonzera (uye kazhinji zvisingawanzoitiki) zvinogona "kupindira mukati" pedo nenyenganyenga yemutsipa midzi uye / kana rwonzi rwomukona rwunowanzopfuura nepashure rekunonoka kusina kubvumirwa. Izvi zvinonzi kusangana kana kupindira. Kana kukanganisa kuchiitika, kunogona kukonzera marwadzo akadai uye zvimwe zviratidzo.
Nemhaka yokuti kumira kwemazuva ekupedzisira ndiyo chikamu chemugungwa wemusana, apo stenosis inowedzera imomo, inorongwa sepakati pekanal stenosis iyo stenosis inowanikwa mumugwagwa. Muchiitiko ichi, zviratidzo zvemyelopathy zvinogona kuitika. Zviratidzo zvekuita myelopathy zvinokonzerwa nekutsamwa kana kukanganiswa kwemutsipa wepelinha.
Semuenzaniso, kukurudzirwa kwerenaless recess stenosis kunogona kuitika kana zera rinoshanduka kuine ligamentum flavum inowanikwa. Kuchinja kwakadaro kunogona kusanganisira kuwedzera, kurasikirwa kwesimba, nekurasikirwa kusasvikika kusvika pakakonzerwa nhovo kunopinda mukati memugero wemugwagwa.
Uye zvechokwadi, rakasvibiswa ligamentum flavum inogadzira chirwere chepasera-chinonyanya chiratidzo chepakati peanal stenosis. Kana buckling inopindira pamutsipa wepelinha, inogona kukonzera zviratidzo zvemyelopathy.
> Sources:
> Demirayak, D., uye. al. Clinical and Radiological Results ye Microsurgical Posterior Lumbar Interbody Fusion uye Kuparadzana kusina Posterior Instrumentation yeCommeral Recess Stenosis Asia Spine J. Gumiguru 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591442/
> Bartynskia, Walter S. Lina, Ruka. Lumbar Root Compression muKubva Kwakaitika Kare: MR Imaging, Conventional Myelography, uye CT Myelography Kuenzanisa neKupupurirwa Kwekuzvipira. American Journal of Neuroradiology. http://www.ajnr.org/content/24/3/348.full#ref-list-1
> Park, J., Lee, J., Park, S., Riew, K. Hypertrophy ye ligamentum flavum mumunyoro wepine stenosis inowanikwa newedzera proteinase inhibitor concentration. J Bone Joint Surg Am. Dec 2005.
> Rajesh P., Spinal Stenosis. SlideShare.net .. http://www.slideshare.net/upenderus/spinal-stenosis-32618373